Nokea
The current recommended first line treatment of severe malaria in Kenya is?
- A. Quinine
- B. Fansidar
- C. Artescinate
- D. Artemether - lumefantrine
Correct Answer: C
Rationale: Artesunate (often misspelled as Artescinate) is the recommended first-line treatment for severe malaria in Kenya per WHO and national guidelines, administered IV or IM, followed by oral therapy.
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Which topical antifungal medication is used to treat vaginal candidiasis?
- A. Haloprogin (Halotex)
- B. Miconazole (Monistat)
- C. Oxiconazole (Oxistat)
- D. Terbinafine HCl (Lamisil)
Correct Answer: B
Rationale: Miconazole is a standard topical treatment for vaginal candidiasis; others target skin infections. Topical miconazole is used to treat vaginal candidiasis.
Sitagliptin has been approved for:
- A. Monotherapy in once-daily doses
- B. Combination therapy with metformin
- C. Both 1 and 2
- D. Neither 1 nor 2
Correct Answer: C
Rationale: Sitagliptin is approved for monotherapy and with metformin , offering flexible type 2 diabetes management.
All are explained on pharmacogenetic conditions except
- A. G6PD deficiency
- B. Warfarin insensitivity
- C. Adenosine deaminase deficiency
- D. Malignant hyperthermia
Correct Answer: C
Rationale: Adenosine deaminase deficiency is not typically pharmacogenetic; others are.
Which of the following medications has not hypoglycemic effect:
- A. Insulin
- B. Glucagon
- C. Metformin
- D. Glibenclamid
Correct Answer: B
Rationale: Glucagon raises blood glucose levels, unlike the others which lower it.
Which of the following anti inflammatory drugs is ineffective in gout?
- A. Piroxicam
- B. Tolmetin
- C. Aspirin
- D. Celecoxib
Correct Answer: C
Rationale: Aspirin increases uric acid levels, worsening gout.